Individual provider Active NPI

Megan Fuller, PT, DPT

  • Physical Therapist
  • Bowling Green, KY
National Provider Identifier
1083338313
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006333 Issued in KY
Practice address
618 Lovers LN
Bowling Green, KY 42103-6904
Phone
(270) 936-8164
NPI assigned
Sep 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 006333 KY Primary

Addresses

Primary practice location

618 Lovers LN
Bowling Green, KY 42103-6904

Mailing address

833 Aaron Rd
Bowling Green, KY 42101-6335
Phone (270) 793-2612

Other names 1

  • Megan Nicole Riffey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221017001242 KY Practitioner - Physical Therapist in Private Practice 1759757768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Kentucky, LLCGroup PAC ID 1850729211, 108 clinicians

Practice addresses (Care Compare)

1165 Monarch St
Lexington, KY 40513-1979
Phone (844) 502-7996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006333KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Kentucky, LLC CurrentSince Oct 3, 2022 Accepting new patients
Empowerme Rehabilitation Kentucky, LLC Physical Therapist CurrentSince Oct 3, 2022 Accepting new patients
Empowerme Rehabilitation Kentucky, LLC Past Accepting new patients
Empowerme Rehabilitation Kentucky, LLC Physical Therapist Past Accepting new patients

Locations

100 Windsor Path
Georgetown, KY 40324
Phone (502) 570-0540

3310 Tates Creek Rd
Lexington, KY 40502
Phone (859) 203-7899

201 Abraham Flexner Way
Ste 100
Louisville, KY 40202
Phone (502) 587-8222

9701 Whipps Mill Rd
Louisville, KY 40223
Phone (502) 426-2778

1900 Pleasant Valley Rd
Owensboro, KY 42303

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1083338313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 AARON RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421016335",
            "telephone_number": "270-793-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 LOVERS LN",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421036904",
            "telephone_number": "270-936-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "RIFFEY",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.